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SOUTHERN ILLINOIS RESPIRATORY DISEASE CONSULTANTS LLC NPI 1124282462

NPI Profile

NPI: 1124282462

Provider Name: SOUTHERN ILLINOIS RESPIRATORY DISEASE CONSULTANTS, LLC

Classification: Internal Medicine - 207RP1001X

Entity Type: Organization

Specialization: Pulmonary Disease

Address:
317 S 14TH ST
SUITE 3
HERRIN, IL
ZIP 62948

Phone: (618) 942-7402

SOUTHERN ILLINOIS RESPIRATORY DISEASE CONSULTANTS, LLC is a pulmonary disease internist in Herrin, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SOUTHERN ILLINOIS RESPIRATORY DISEASE CONSULTANTS, LLC NPI is 1124282462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

317 S 14TH ST
SUITE 3
HERRIN, IL
ZIP 62948-671
Phone: (618) 942-7402

The provider's authorized official is Suhail Istanbouly .
The authorized official title is President and has the following contact phone number (618) 942-7402.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 11/4/2008.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RP1001X Internal Medicine Pulmonary Disease 036098950 ILLINOIS Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/13/2015